Shirishkumar N Patel, M.D.

Individual provider Active NPI Internal Medicine Physician · Owensboro, KY

NPI 1477582930 · NPPES record last updated May 29, 2024

Key facts

NPI
1477582930
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
31587 (KY)
Practice address
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone
(270) 417-4700
Fax
(270) 417-4709
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Amago Inpatient Services LLC (21 clinicians)
Apogee Medical Group Georgia (122 clinicians)
Hospital Medicine Services of FL, LLC (513 clinicians)

Practice addresses (Care Compare)

2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (954) 939-5000

2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 333-1000

340 NW Commerce Dr
Lake City Medical Center
Lake City, FL 32055-4709
Phone (850) 719-9000

700 W Oak St
Osceola Regional Medical Center
Kissimmee, FL 34741-4996
Phone (407) 846-2266

Hospital & facility affiliations

  • SGMC Health Hospital · Valdosta, GA · CCN 110122
  • Baptist Health Paducah Hospital · Paducah, KY · CCN 180104
  • HCA Florida Osceola Hospital Hospital · Kissimmee, FL · CCN 100110

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in KY, FL, GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040318000007 KY Practitioner - Internal Medicine 4183514631 Reassigns benefits to 5 organizations
I20170612001053 FL Practitioner - Internal Medicine 4183514631 Reassigns benefits to 2 organizations
I20181206000779 GA Practitioner - Internal Medicine 4183514631 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31587KYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Internal Medicine Current
since May 31, 2015
Accepting new patients
Deaconess Hospital Inc Current
since May 1, 2024
Accepting new patients
Hospital Medicine Services of FL, LLC Hospitalist Current
since Apr 1, 2023
Accepting new patients
Southeastern Physician Services PC Internal Medicine Current
since Mar 1, 2015
Accepting new patients
Apogee Medical Group Kentucky PSC Current
since Mar 1, 2026
Accepting new patients
Apogee Medical Group Georgia Internal Medicine Current
since Mar 15, 2020
Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Hospital Physician Services of Florida PA Internal Medicine Current
since Apr 1, 2017
Accepting new patients
Deaconess Hospital Inc Current
since May 1, 2024
Accepting new patients
Owensboro Health Medical Group Inc Current
since May 31, 2015
Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist Current
since Jul 1, 2020
Accepting new patients
Premier Medical Group, PSC Internal Medicine Current Accepting new patients
Owensboro Health Medical Group, Inc Internal Medicine Past Accepting new patients
South Georgia Medical Center Inc Past Accepting new patients
Deaconess Hospital, Inc Internal Medicine Past Accepting new patients
Methodist Health, Inc. Past Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

1030 Burlew Blvd
Ste A
Owensboro, KY 42303
Phone (270) 926-2273

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 31587 KY
Internal Medicine Physician 207R00000X 31587 KY Yes

Addresses

Primary practice location

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811

Mailing address

1501 Copper Creek Dr
Owensboro, KY 42303-1797
Phone (270) 993-0755

Other identifiers

IdentifierTypeStateIssuer
200063470MedicaidIN
64315872MedicaidKY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 29, 2024.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1477582930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 COPPER CREEK DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031797",
            "telephone_number": "270-993-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PLEASANT VALLEY RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039811",
            "telephone_number": "270-417-4700",
            "fax_number": "270-417-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHIRISHKUMAR",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "31587",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "31587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200063470",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64315872",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

All providers in Owensboro, KY · Internal Medicine Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.